Level and Factors Associated with Professional Commitment of Health Professionals Providing Institutional Delivery Services in Public Health Facilities, Southwest Ethiopia
BACKGROUND:Professional commitment is beyond a commitment for a particular organization and implies the individuals’perspective towardstheir profession and the motivation that they have to stay in their job withwillingness to strive and uphold the values and goals ofthe profession. In Ethiopia, uptake of institutional delivery services is low. However,the level and factors associated with professional commitment is not known so far. Hence, our objective is to assess the level and factors associated withcommitment of health professionals providing institutional delivery services in public health facilities of Jimma Zone, Southwest Ethiopia. METHODS: A facility-based cross-sectional study design was conducted from March 01-20, 2016. A total of 442eligible health professionals were included from randomly selected 7 districts and 47 respective health facilities. Health professionals were requested to fill self-administered questionnaire. After checking its completeness, the datawas entered into EPI data version 3.1 and exported to SPSS version 20 for statistical analysis. Factor analysis was conducted. Simple and multiple linear regressionwere done using 95%CI and significance was declared at P<0.05.All assumptions of linear regression and principal component analysiswere checked. RESULTS: The percentage mean score of professional commitment was 72.71%(SD21.88).The percentagemean score for perceived maternal health goal scale was68.37%withthe total variance explained being 69.68%. Perceived staff interaction,work-life balance,affectiveorganizationalcommitment,normative organizational commitment,personal characteristicsandperceived maternal health goalwereindependent predictors of professional commitment. CONCLUSION: The percentagesmean score of professional commitment wasmedium. Hence, Health professionals should foster theirlevel of professional commitment to increase uptake of institutional delivery services. KEYWORDS:Commitment,health professionals,Institutional delivery service uptake